St Joseph Nursing Home INC
Nursing Facility/Intermediate Care Facility in Lacon, IL. Organization (NPI-2).
NPI number1790772309
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790772309
- Entity type
- Organization (NPI-2)
- Legal business name
- St Joseph Nursing Home INC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2005
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0005637 | IL | Yes |
Practice location
401 9th StLacon, IL 61540-1140
Phone 309-246-2175 · Fax 309-246-3609
Mailing address
401 9th StLacon, IL 61540-1140
Phone 309-246-2175 · Fax 309-246-3609
Authorized official
Thomas E Becher
Administrator
3092462175
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